Provider Demographics
NPI:1215910518
Name:ESHELMAN, CHRISTINA KENDALL (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:KENDALL
Last Name:ESHELMAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2940 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2824
Mailing Address - Country:US
Mailing Address - Phone:717-763-1389
Mailing Address - Fax:
Practice Address - Street 1:450 GIBNER RD
Practice Address - Street 2:DUNHAM US ARMY HEALTH CLINIC
Practice Address - City:CARLISLE BARRACKS
Practice Address - State:PA
Practice Address - Zip Code:17013-5003
Practice Address - Country:US
Practice Address - Phone:717-245-3334
Practice Address - Fax:717-245-3880
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP004417V363LW0102X
PASP015470363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health